Norristown, PA

Onyx Wellness Center

2-star overall rating with 2-star inspections with $122,908 in total fines with 9 recent health deficiencies with 1 fire-safety deficiencies in the latest cycle

205 East Johnson Highway, Norristown, PA

(610) 275-6410

Compare this facility

Overall

2 / 5

CMS overall stars

Health inspections

2 / 5

Survey and complaint cycles

Staffing

3 / 5

RN + nurse staffing

Quality measures

4 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

119

Certified beds

Average residents

103

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

Paramount Care Centers

Operator or chain grouping

Approved since

1976-11-01

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Chain footprint

9 facilities

Chain averages 3 overall / 3 health / 3 staffing / 4 quality stars

Changed ownership

Within the last 12 months

Family council

Yes

Resident and family council reported

Sprinklers

Yes

Automatic sprinklers in all required areas

Staffing

Hours and turnover

RN hours / resident day

0.45

Registered nurse staffing · state 0.78 · national 0.68

LPN hours / resident day

0.85

Licensed practical nurse staffing · state 0.91 · national 0.87

Aide hours / resident day

2.13

Nurse aide staffing · state 2.20 · national 2.35

Total nurse hours

3.43

All reported nurse hours · state 3.89 · national 3.89

Licensed hours

1.30

RN + LPN hours · state 1.69 · national 1.54

Weekend hours

3.16

Weekend nurse staffing · state 3.51 · national 3.43

Weekend RN hours

0.36

Weekend registered nurse coverage · state 0.55 · national 0.47

Physical therapist

0.07

Reported PT staffing · state 0.10 · national 0.07

Adjusted RN hours

0.49

CMS adjusted RN staffing hours

Adjusted total hours

3.79

CMS adjusted total nurse staffing hours

Case-mix index

1.24

Higher values indicate more complex resident acuity

RN turnover

22%

Annual RN turnover · state 43% · national 45%

Total nurse turnover

74%

Annual nurse turnover · state 47% · national 46%

SNF VBP

Value-based purchasing

Program rank

5,186

Lower is better among SNFs in the FY 2026 VBP program.

Performance score

37.09

Composite VBP score used to determine payment impact.

Payment multiplier

0.9904

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

Not reported

This facility did not meet this measure's case minimum policy requirement and therefore no measure data is publicly reported.

Healthcare-associated infections

Not reported

This facility did not meet this measure's case minimum policy requirement and therefore no measure data is publicly reported.

Total nurse turnover

4.22

Baseline 51.32% · Performance 46.43% · Measure score 4.22 · Achievement 4.22 · Improvement 1.35

Adjusted total nurse staffing

3.20

Baseline 3.21 hours · Performance 3.99 hours · Measure score 3.20 · Achievement 3.20 · Improvement 2.52

SNF QRP

Medicare quality reporting measures

Measure	Facility	National	Note
Potentially preventable 30-day readmission	10.79%	10.72% 0.1 pts worse	No Different than the National Rate · Eligible stays 25 · Observed rate 12% · Lower 95% interval 6.99%
Discharge to community	Not Available	50.57%	Not Available · Eligible stays 18 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly.
Medicare spending per beneficiary	0.8	1.02 0.2 pts better
Drug regimen review with follow-up	100%	95.27% 4.7 pts better	Numerator 23 · Denominator 23
Falls with major injury	0%	0.77% 0.8 pts better	Numerator 0 · Denominator 23
Discharge self-care score	Not Available	53.69%	Numerator Not Available · Denominator 14 · Too few residents or stays to report publicly.
Discharge mobility score	Not Available	50.94%	Numerator Not Available · Denominator 14 · Too few residents or stays to report publicly.
Pressure ulcers or injuries, new or worsened	0%	2.29% 2.3 pts better	Numerator 0 · Denominator 23 · Adjusted rate 0%
Healthcare-associated infections requiring hospitalization	Not Available	7.12%	Not Available · Eligible stays 9 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly.
Staff COVID-19 vaccination coverage	0%	8.2% 8.2 pts worse	Numerator 0 · Denominator 128
Staff flu vaccination coverage	39.33%	42% 2.7 pts worse	Numerator 59 · Denominator 150
Discharge function score	Not Available	56.45%	Numerator Not Available · Denominator 14 · Too few residents or stays to report publicly.
Transfer of health information to provider	Not Available	95.95%	Numerator Not Available · Denominator 8 · Too few residents or stays to report publicly.
Transfer of health information to patient	Not Available	96.28%	Numerator Not Available · Denominator 4 · Too few residents or stays to report publicly.
Resident COVID-19 vaccinations up to date	Not Available	25.2%	Numerator Not Available · Denominator 18 · Too few residents or stays to report publicly.

Quality measures

Resident outcomes and process scores

Measure	Facility	State	National	Note
Number of hospitalizations per 1000 long-stay resident days	3.3	1.7 1.6 pts worse	1.9 1.4 pts worse	Long Stay · 20240701-20250630 · Adjusted 3.3 · Observed 3.2 · Expected 1.8 · Used in QM five-star
Number of outpatient emergency department visits per 1000 long-stay resident days	1.1	1.2 0.1 pts better	1.8 0.7 pts better	Long Stay · 20240701-20250630 · Adjusted 1.1 · Observed 1.0 · Expected 1.5 · Used in QM five-star
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine	65.6%	86.9% 21.3 pts worse	93.4% 27.8 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 65.3% · Q2 62.9% · Q3 65.7% · Q4 68.3% · 4Q avg 65.6%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine	99.1%	93.5% 5.6 pts better	95.5% 3.6 pts better	Long Stay · 2024Q3-2025Q2 · 4Q avg 99.1%
Percentage of long-stay residents experiencing one or more falls with major injury	1.7%	3.2% 1.5 pts better	3.3% 1.6 pts better	Long Stay · 2024Q4-2025Q3 · Q1 2.0% · Q2 3.1% · Q3 1.0% · Q4 1.0% · 4Q avg 1.7% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms	15.3%	6.5% 8.8 pts worse	11.4% 3.9 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 9.7% · Q4 51.1% · 4Q avg 15.3%
Percentage of long-stay residents who lose too much weight	3.8%	6.5% 2.7 pts better	5.4% 1.6 pts better	Long Stay · 2024Q4-2025Q3 · Q1 4.3% · Q2 5.5% · Q3 3.1% · Q4 2.2% · 4Q avg 3.8%
Percentage of long-stay residents who received an antianxiety or hypnotic medication	15.2%	19.9% 4.7 pts better	19.6% 4.4 pts better	Long Stay · 2024Q4-2025Q3 · Q1 16.3% · Q2 12.9% · Q3 16.8% · Q4 14.6% · 4Q avg 15.2%
Percentage of long-stay residents who received an antipsychotic medication	27.6%	18.7% 8.9 pts worse	16.7% 10.9 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 25.5% · Q2 31.2% · Q3 27.9% · Q4 26.4% · 4Q avg 27.6% · Used in QM five-star
Percentage of long-stay residents who were physically restrained	0.0%	0.2% 0.2 pts better	0.1% 0.1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0%
Percentage of long-stay residents whose ability to walk independently worsened	9.4%	19.6% 10.2 pts better	16.3% 6.9 pts better	Long Stay · 2024Q4-2025Q3 · Q1 5.9% · Q2 12.5% · Q3 10.9% · Q4 8.7% · 4Q avg 9.4% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased	19.1%	18.3% 0.8 pts worse	14.9% 4.2 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 17.1% · Q2 20.7% · Q3 14.9% · Q4 23.9% · 4Q avg 19.1% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder	0.0%	0.9% 0.9 pts better	1.0% 1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection	0.3%	1.7% 1.4 pts better	1.7% 1.4 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 1.0% · 4Q avg 0.3% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence	24.7%	26.4% 1.7 pts better	19.8% 4.9 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 25.9% · Q2 29.5% · Q3 19.8% · Q4 24.0% · 4Q avg 24.7%
Percentage of long-stay residents with pressure ulcers	3.2%	5.3% 2.1 pts better	5.1% 1.9 pts better	Long Stay · 2024Q4-2025Q3 · Q1 1.1% · Q2 1.4% · Q3 5.0% · Q4 5.1% · 4Q avg 3.2% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine	40.8%	68.9% 28.1 pts worse	81.7% 40.9 pts worse	Short Stay · 2024Q4-2025Q3 · Q1 23.4% · Q2 36.5% · Q3 59.5% · Q4 48.7% · 4Q avg 40.8%
Percentage of short-stay residents who had an outpatient emergency department visit	11.6%	9.8% 1.8 pts worse	12.0% 0.4 pts better	Short Stay · 20240701-20250630 · Adjusted 11.6% · Observed 13.3% · Expected 12.8% · Used in QM five-star
Percentage of short-stay residents who newly received an antipsychotic medication	6.8%	1.5% 5.3 pts worse	1.6% 5.2 pts worse	Short Stay · 2024Q4-2025Q3 · Q2 8.3% · Q3 5.0% · 4Q avg 6.8% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine	78.1%	68.7% 9.4 pts better	79.7% 1.6 pts worse	Short Stay · 2024Q3-2025Q2 · 4Q avg 78.1%
Percentage of short-stay residents who were rehospitalized after a nursing home admission	17.1%	23.1% 6 pts better	23.9% 6.8 pts better	Short Stay · 20240701-20250630 · Adjusted 17.1% · Observed 16.7% · Expected 23.3% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-05-22 · Fire 2025-05-22

9 health deficiencies

Top issue: Resident Rights (4 deficiencies)

1 fire-safety deficiencies

Top issue: Emergency Preparedness (1 deficiency)

Cycle 2 Health 2024-08-01 · Fire 2024-08-01

7 health deficiencies

Top issue: Nutrition and Dietary (2 deficiencies)

0 fire-safety deficiencies

No concentrated fire-safety issue counts in this cycle.

Cycle 3 Health 2023-08-03 · Fire 2023-08-03

13 health deficiencies

Top issue: Nutrition and Dietary (4 deficiencies)

1 fire-safety deficiencies

Top issue: Emergency Preparedness (1 deficiency)

Fire safety

Fire-safety citations

C · Minimal harm 2025-05-22

E4 · Emergency Preparedness Deficiencies

Fire Safety

Develop and maintain an Emergency Preparedness Program (EP).

Corrected 2025-07-01

C · Minimal harm 2023-08-03

E4 · Emergency Preparedness Deficiencies

Fire Safety

Develop and maintain an Emergency Preparedness Program (EP).

Corrected 2023-10-03

Inspection history

Recent health citations

F · Potential for more than minimal harm 2025-05-22

F812 · Nutrition and Dietary Deficiencies

Health

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Corrected 2025-06-18

E · Potential for more than minimal harm 2025-05-22

F550 · Resident Rights Deficiencies

Health

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Corrected 2025-06-18

E · Potential for more than minimal harm 2025-05-22

F584 · Resident Rights Deficiencies

Health

Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

Corrected 2025-06-18

D · Potential for more than minimal harm 2025-05-22

F578 · Resident Rights Deficiencies

Health

Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.

Corrected 2025-06-18

D · Potential for more than minimal harm 2025-05-22

F687 · Quality of Life and Care Deficiencies

Health

Provide appropriate foot care.

Corrected 2025-06-18

D · Potential for more than minimal harm 2025-05-22

F726 · Nursing and Physician Services Deficiencies

Health

Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.

Corrected 2025-06-18

D · Potential for more than minimal harm 2025-05-22

F744 · Quality of Life and Care Deficiencies

Health

Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.

Corrected 2025-06-18

C · Minimal harm 2025-05-22

F574 · Resident Rights Deficiencies

Health

The resident has the right to receive notices in a format and a language he or she understands.

Corrected 2025-06-18

D · Potential for more than minimal harm 2025-04-16

F656 · Resident Assessment and Care Planning Deficiencies

Health

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Corrected 2025-05-05

G · Actual harm 2025-01-21

F689 · Quality of Life and Care Deficiencies

Health

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Corrected 2025-03-03

E · Potential for more than minimal harm 2024-12-09

F584 · Resident Rights Deficiencies

Health

Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

Corrected 2025-02-07

E · Potential for more than minimal harm 2024-08-01

F804 · Nutrition and Dietary Deficiencies

Health

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

Corrected 2024-09-20

D · Potential for more than minimal harm 2024-08-01

F641 · Resident Assessment and Care Planning Deficiencies

Health

Ensure each resident receives an accurate assessment.

Corrected 2024-09-20

D · Potential for more than minimal harm 2024-08-01

F656 · Resident Assessment and Care Planning Deficiencies

Health

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Corrected 2024-09-20

D · Potential for more than minimal harm 2024-08-01

F688 · Quality of Life and Care Deficiencies

Health

Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.

Corrected 2024-09-20

D · Potential for more than minimal harm 2024-08-01

F801 · Nutrition and Dietary Deficiencies

Health

Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.

Corrected 2024-09-20

J · Immediate jeopardy 2024-01-31

F600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Corrected 2024-03-01

D · Potential for more than minimal harm 2024-01-31

F835 · Administration Deficiencies

Health

Administer the facility in a manner that enables it to use its resources effectively and efficiently.

Corrected 2024-03-01

F · Potential for more than minimal harm 2023-08-03

F812 · Nutrition and Dietary Deficiencies

Health

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Corrected 2023-09-11